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Computer Equipment Relocation
First Name*:
Last Name*:
Phone:
Email*:
Mosaic User Type*:
Faculty
Staff
Student
Ticket Title*:
Ticket Severity:
Low
Medium
High
Informational
Critical
Urgent
(Default is low. Kindly select the severity level of issue.)
Who "owns" the equipment? (name of the Faculty or Staff responsible for the equipment)
What kind of equipment are you moving?
Windows Workstation
Linux Workstation
Unix Worstation
Network Printer
What is the machine number or printer name?
What building is the equipment currently in?
Smith
Cameron Hall
Duke Centennial Hall
Woodward Hall
Kennedy
Grigg Hall
Colvard
What room number?
Which building is it going to?
Smith
Cameron Hall
Duke Centennial Hall
Woodward Hall
Kennedy
Grigg Hall
Colvard
What room number?
What day will the equipment be disconnected in its current location?
Pick Date
Brief description of why you need an equipment move*:
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